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Consumer News

Most complaints against health plans is on service providers

07/13/2016

This article was translated by an automatic translation system, and was therefore not reviewed by people.

 

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Source: EBC Radios 

 

Report of the National Health Agency (ANS) shows that the majority of complaints (39%) of health plan beneficiaries in 2015 was about problems with the accredited network, marking, scheduling and network disqualification. 

In the second place (25%) were complaints about health procedures, authorization, negative coverage and service. 

The survey also shows that 14% of the complaints are about administrative issues, 13% related to financial matters and 9% to Customer Service. 

For the report, 508,141 were considered manifestations of 66.7 million beneficiaries, made by 744 ombudsmen of health insurance providers. 

The annual survey became mandatory with the ANS Normative Resolution 323/2013, which requires operators to create ombudsmen structures related to the regulatory agency.

 

Source: Idec

To access the IDEC website, click here.

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This article was translated by an automatic translation system, and was therefore not reviewed by people.

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